Provider Demographics
NPI:1093244568
Name:HOME-CALL HEALTHCARE CORP
Entity Type:Organization
Organization Name:HOME-CALL HEALTHCARE CORP
Other - Org Name:NURSE REGISTRY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:OCONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:904-861-0424
Mailing Address - Street 1:7235 BONNEVAL RD STE 404
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-7506
Mailing Address - Country:US
Mailing Address - Phone:904-861-0424
Mailing Address - Fax:904-861-0428
Practice Address - Street 1:7235 BONNEVAL RD STE 404
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7506
Practice Address - Country:US
Practice Address - Phone:904-861-0424
Practice Address - Fax:904-861-0428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211822251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022585500Medicaid